PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC
NPI 1982097465
Clinic/Center - Physical Therapy in Fairfax, VA

Active since March 09, 2015
3903 FAIR RIDGE DR, 211, FAIRFAX, VA 22033(571) 294-3557 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Proactive Physical Therapy And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC (NPI 1982097465) is a healthcare organization registered as a physical therapy in Fairfax, Virginia and active in the NPI registry since March 2015. The organization lists Chavone Johnson, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1982097465
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePROACTIVE PHYSICAL THERAPY AND WELLNESS LLC
Location Address3903 FAIR RIDGE DR, 211Fairfax, VA 22033-2943
Mailing Address3903 Fair Ridge Dr, 211Fairfax, VA 22033-2943 · (571) 294-3557
Organization SubpartNo
Authorized OfficialChavone JohnsonPhysical Therapist · (571) 294-3557
Enumeration DateMarch 9, 2015
Last NPPES UpdateAugust 3, 2015
✔ NPI 1982097465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in VA · 2305204873
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3903 FAIR RIDGE DR, Fairfax, VA 22033

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Physical Therapy And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactive Physical Therapy And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1851455448
3903 FAIR RIDGE DR STE 211
Fairfax, VA 22033
(703) 865-0667
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Physical Therapy And Wellness LLC's NPI number?

The NPI number for Proactive Physical Therapy And Wellness LLC is 1982097465. It was assigned to this organization in the NPPES registry on March 9, 2015.

Where is Proactive Physical Therapy And Wellness LLC located?

Proactive Physical Therapy And Wellness LLC is located at 3903 Fair Ridge Dr 211, Fairfax, VA 22033. The listed phone number is (571) 294-3557.

What is Proactive Physical Therapy And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Proactive Physical Therapy And Wellness LLC enrolled in Medicare?

Yes. Proactive Physical Therapy And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Physical Therapy And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Proactive Physical Therapy And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Physical Therapy And Wellness LLC was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.